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Case# WELL-12-2021-162516
CATAWBA COUNTY HEALTH DEPARTMENT
,�, Environmental Health Section
18 4 2 sM 06/20/2023
WATER SAMPLE FIELD REPORT
On ner ANTHONY GONZALEZ,4291 BRITTANY AVE,CONOVER NC 28613
H:8288557932 ANTHONY.GONZALEZ1394@GMAIL.COM
Contractor *MADISON HOMEBUILDERS,L.L.C.,2720 W ARROWOOD RD,CHARLOTTE NC 28273
B:7045235151F:8284648874 SUE@MADISONHOMEBUILDERS.COM
Site Address: 5169 LEE CLINE RD,CONOVER NC 28613
Name of Subdivision: VICTORIAN HILLS SUBDIV
Parcel Number: 374414447533
Driving Directions Turn Left US 321 Bus continue past Bojangles onto 7th ST PL SW Turn left 1st Ave South;Turn Left on
County Home RD;Turn Left Lee Cline RD go 2.8 miles lot on the Left 4�
Sample Collected by: WIs4.'r ('k par Date/Time Sampled: O /08/a.3 IO=O0 AM
Sampling Point: 5A.7L Z 1 p
Is well head accessible? Yes '7 No Reason for inaccessibility
Well New or Existing? New / Existing
Type of Well: Drilled Bored Hand Dug Punch
Does well meet adequate construction standards from what can be observed: Yes No
Items of non-compliance: — Evidence of improper grouting or no grouting
Well does not meet a required setback(comment)
Improperly constructed sanitary well seal
_ Well head not term at>= 12"above finished grade
Well head missing vent
Well head does not have a threadless tap
Well missing identification plate or pump tag
Wire conduit opening not sealed
Other(comment)
Comment:
rsainfieldrrport 06/20/2023 15:02 Page 1 of2
•
$A Case It WELL-12-2021.462516
F� 'f' %� CATAWBA COUNTY HEALTH DEPARTMENT
451, Environmental Health Section
1$ �. sM 06/20/2023
WATER SAMPLE TEST RESULTS
Owner ANTHONY GONZALEZ,4291 BRITTANY AVE,CONOVER NC 28613
H:8288557932 ANTHONY.GONZALEZ1394aGMAIL.COM
Contractor *MADISON HOMEBUILDERS,L.L.C.,2720 WARROWOOD RD,CHARLOTTE NC 28273 ^�
B:7045235151 F:8284648874 SUE@MADISONHOMEBUILDERS.COM
Site Address: 5169 LEE CLINE RD,CONOVER NC 28613
Name of Subdivision: VICTORIAN HILLS SUBDIV
Parcel Number: 374414447533
Lab Coliform Analysis Results: Total Coliforms: OAit-LALt' Fecal/E.Coli: tx6uln_t
No Collection Date Over 30 hours old
Invalid Results: Excessive turbidity Excessive Chlorine
Lab Accident
Lab Tech Initials U.- a81°8/2b r4W c '5"
Date/Time Received Date/'Time Completed S�i.�t(2'S e'n-r-
RECEIVED
?fl23
Environmental Health
rsamfieldreport 06,202021 I>:02 Pape 2 of
Analytical Results STATESVlw„'.,F
II 4. ANALYTICAL
„i.
Catawba County Public Health
PO Box 389
Newton, NC 28658
Receive Date: 08/09/2023
Reported: 08/10/2023
For: 5169 Lee Cline Rd, Conover NC 28613
Comments: Acceptable limits for drinking water are:
Total Coliform =Absent, E.Coli =Absent, Lead <0.015 mg/L,
Nitrate<10.0 mg/L, Nitrite<1.0 mg/L
Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst
230809-42-01 Nitrate 162516 2.22 mglL 353.2 08/10/2023 CL
230809-42-01 Nitrite 162516 <0.1 mg/L 353.2 08/10/2023 CL
Respectfully submitted,
Melissa Myers
NC Cert#440,
NCDW Cert#37755,
EPA#NC00909
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 1 of 2
MairgrifiTIMPIBBIRTMItirsstmostumsersswes..,........--._ .
40. 111AtIE£1`111.1.E
4pANAL111011
112 Court Street Stateiville,NC 28677
704-872-4697 w AINV,
NITRATE/NITRITE ANALYSIS
K.:ft Miafairwirr..moil be iiiyciixd im;.:77nlini,a n's6,1
I
HAI-ER SYSTEM ID#: I 2 -aoli _ icasic (-mine,: catii-
_............___
Name of Water System:
___...._..... _
Sample Type: 0 Entry Point OSpeciaL`Non-complla rice
Location SN'here Collected: 5-/69 ice C-Iine RD 6.,,,,ovfc Nc- ')-gt"-7/ 3
, ----
Facilit:, ID No. 1.6
Suntple Point: ._..)._.1\ _ P_ Co110,7tiott Date ' Ctillection.1 itue
Collected By.: but 1 ti,* _I 9.._:00 . A_si
. _ __.._
:f.,..p.,01-- ,t,'WI-sr
NUB Resultt to 0-voter ii.:stem represvnt alive):
CATAWBA COUNTY PUBLIC HEALTH phone#., (828)465-8270
___• . .
ENVIRONMENTAL HEALTH Fat ii: (823)465-3276
PO BOX 389 Rtiponsibte Person's email:
_
NEVVTON,NC 28658 ..- —
ifi• lo. ', ,-..^ -,.." - ------.-----
IABORATORY ID*: 37755 U SAMPIA UNSATISFACTORY 0 RESAMPLE REQUIRED
REQLIRED ;jig DETECI-ED Qt.ANT,11,1ED
4.:ON1 AM ME t i IOD AI 1 OW ABLE 1
1:ONTAMINAN'l REFOR7ING UM rr tic<R R 1.1
CODE CODE ftEStA.I'S* 1.1Ntri
11 1040 Nitrate 353 2 1.00 nigiL 0 1000 MO .:
, I 1041 NlLtite 51 2 0,10 me. rug/I. 1.00 n1W I.
_.-.... .......
;
!It
Note:If result exceeds allowable limit,she iaboratorN must fax atalytical resulti to the State on day test completed
.1]:=
t4i .......
__________________4_,______________________________,
ANAL'S SES BEGUN: 0 ab i 1° 1 23 1 • 5 6 0 M
. ---— —. _.
t 1 10.1111100"n1 :Is...d1....4,•4 ;
ANALYSES CONIPLE I ED: I Ofe/ to a -
5 8.6 A
Laboratory Logy:1:1J Ci i5 0 I-ttL: Ot
t wtifi _
ed By: C4.143X-,-,
- ---
COMMENTS:
_. . . —
Lear:Harr thould Wit Rotas tw,
Pubnc Water Supply Section.Mtn Fin Entry,1534 Mail Service Centcr,11.1.1ciet,NC 2709 1614
Fax:919.715 6637
._____ , yxanymaymtamvai7nrecoaiirrir
PO Box 228 • Statesville, NC 28687 • 704/872/4697
Page 2 of 2
North Carolina Division of Public Health
Occupational and Environmental Epidemiology Branch, Epidemiology Section
BIOLOGICAL ANALYSIS REPORT
Private well water information and recommendations
County: Catawba Name: Anthony Gonzalez Sample ID Number: 162516
Location: 5169 Lee Cline Rd,Conover NC 28613 Reviewer: Megen McBride
Initial Sample X Confirmation Sample:
BIOLOGICAL ANALYSIS RESULTS AND RECOMMENDATIONS FOR USES OF YOUR
PRIVATE WELL WATER(These recommendations are based on biological analysis only.)
X No coliform bacteria were found in your well water. Your water can be used for all purposes
including drinking,cooking,washing dishes, bathing and showering.
Total coliform bacteria were detected in your water sample. Total Coliform are a group of related
bacteria that are(with few exceptions)not harmful to humans. A variety of bacteria, parasites,and
viruses, known as pathogens, can potentially cause health problems if humans ingest them. EPA considers
total coliforms a useful indicator of other pathogens for drinking water.Total coliforms are used to
determine the adequacy of water treatment and the integrity of the distribution system
It is recommended that your well water be re-tested to verify that the result is accurate.
Fecal coliform bacteria were detected in the sample. Do not use the water for drinking,
cooking,washing dishes, bathing or showering.
If the re-test shows contamination by bacteria contact your local health department for assistance. There
may be a problem with the construction of the well, the groundwater source, or operation of the well. The
well needs to be inspected by the local health department or a local well contractor to determine the
problem with the well and to give guidance on how to correct the problem.
Your well water was tested for biological contaminants(total coliform and fecal coliform bacteria).The
results were evaluated using the federal drinking water standards.
Drinking water may contain substances that can occur naturally in water or can be introduced into water
from man-made sources. Total coliform bacteria are found in soil and fecal coliform bacteria are found in
animal and human waste.Total coliform or fecal coliform bacteria in well water indicate that the well
may have structural problems or that the well was not properly disinfected.
If you have been drinking the well water and are pregnant, nursing,have a child in the household under 5
years of age, or immunocompromised (such as an individual with AIDS,cancer,hepatitis,dialysis or
surgical procedures) inform your physician of these results at your next visit.
If the contamination continues,you should investigate the possibility of drilling a new well or installing a
point-of-entry disinfection unit which can use chlorine, ultraviolet light,or ozone.
For further information please contact your county health department or the Occupational and
Environmental Epidemiology Branch at 919-707-5900.
N 0 R T H C A R 0 L I N A
Rr.ric
Private Well Information
7- and Use Recommendations
NC DEPARTMENT OF
HEALTH AND HUMAN SERVICES
Division of Public Health For Inorganic Chemical Contaminants
County: Catawba Name: Anthony Gonzalez—5169 Lee Cline Rd, Conover NC 28613
Sample ID#: 162516 I Reviewer: Megen McBride
TEST RESULTS AND USE RECOMMENDATIONS
1. ®Your well water meets federal drinking water standards for inorganic chemicals. Your water can be used for
drinking, cooking,washing, cleaning, bathing, and showering based on the inorganic chemical results on(v.You may
have other water sampling results that are not taken into account in this report.
2. ❑ The following substance(s)exceeded federal drinking water standards or the North Carolina 2L calculated health
levels.The North Carolina Division of Public Health recommends that your well water not be used for drinking and
cooking,unless you install a water treatment system to remove the circled substance(s). However, it may be used for
washing, cleaning, bathing and showering based on the inorganic chemical results only.
❑Arsenic ❑ Barium ❑ Cadmium ❑ Chromium El Copper ❑ Fluoride ❑ Iron
❑ Lead ❑ Manganese ❑ Mercury El Nickel ❑Nitrate/Nitrite ❑ Selenium ❑ Silver
❑Zinc
3. ❑ While your lead levels do not exceed federal or state standards,the North Carolina Division of Public Health has
concerns with any detection of lead. Should you have any questions please contact the NC Private Well and Health
Program at(919) 707-5900.
4. ❑ Re-sample for lead and/or copper. Take a first draw and 30-second flush sample inside the house(preferably the
kitchen sink)and a first draw and 4 minutes flush sample at the wellhead to determine the source of lead and/or copper.
5. El The following substance(s)exceeded aesthetic drinking water standards. Your water can be used for drinking,
cooking, washing, cleaning, bathing, and showering based on the jnoiganic chemical results only, but aesthetic problems
such as bad taste, odor,staining of porcelain, etc. may occur. You may want to install a household water treatment system
to address aesthetic problems.
❑ Chloride ❑ Copper ❑Fluoride ❑ Iron ❑ Manganese
❑ pH ❑ Silver ❑ Sulfate 0 Zinc
6. ❑ a. Sodium levels exceed the U.S. Environmental Protection Agency's(USEPA) Health Advisory level for sodium of
20 mg/I. The North Carolina Division of Public Health recommends that only individuals on no or low sodium-restricted
diets not use this water for drinking or cooking. It may be used for washing,cleaning, bathing, and showering based on
the inorganic chemical results only.
❑ b. Your sodium level exceeds 30 mg/I and may pose aesthetic issues such as bad taste, odor, staining of porcelain, etc.
7. ❑ Re-sampling is recommended in months,to reinvestigate .
For more information regarding your well water results,please call the North Carolina Division of Public Health at 919-707-5900.